HomeMy WebLinkAbout187824 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364421 Page 1 of 1
ONE CIVIC SQUARE LINDSAY GILBERT
CARMEL, INDIANA 46032 CHECK AMOUNT: $40.00
119 BENNETT RD
CARMEL IN 46032 CHECK NUMBER: 187824
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 463209 40.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 463209
Payment Date: 07/05/10
Household 34613
Nlonon Community Center Lindsay Gilbert Hm Ph: (317)750 -6483
Carmel IN 46032 119 Bennett Road
Carmel IN 46032 Cell Ph:
forbushl5 @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 40.00- 40.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 40.00
Processed on 07/05/10 09:04.57 by CNA NEW REFUND AMOUNT 40.00
TOTAL REFUNDABLE AMOUNT 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference baby yoga; low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
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Author ed Signature Date Autho zed Signature Date
JUL 0 2010
BY........................
loaf. 301 .9
t w l[mut{ J �(,(-JQ Page #1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Gilbert, Lindsay Terms
119 Bennett Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
715110 463209 Refund 40.00
Total 40.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Gilbert, Lindsay Allowed 20
119 Bennett Road
Carmel, IN 46032
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 463209 4358400 40.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
15 -Jul 2010
A m Ldn a
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund